Laparoscopic Lymphadenectomy for Isolated Lymph Node Recurrence in Gynecologic Malignancies

Jin Hwa Hong, Joong Sub Choi, Jung Hun Lee, Jong Woon Bae, Jeong Min Eom, Jung Tae Kim, Sukjoong Oh

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Study Objective: To assess the feasibility and efficacy of laparoscopic lymphadenectomy in patients with isolated lymph node recurrences (ILNR) who underwent initial surgery because of gynecologic malignancy. Design: Retrospective study (Canadian Task Force classification II-3). Setting: University teaching hospital. Patients: Six patients with ILNR (1 cervical, 4 ovarian, and 1 peritoneal) diagnosed between March 2003 and July 2010. Intervention: Laparoscopic lymphadenectomy. Measurements and Main Results: Median (range) patient age was 59.5 (24-70) years, and body mass index was 21.7 (21.0-24.6). There was no unplanned conversion to laparotomy. Operating time was 337.5 (200-400) minutes, hemoglobin change was 0.9 (0.4-2.6) g/dL, and hospital stay was 8.5 (5-19) days. The number of harvested lymph nodes was 20 (5-27), and of positive lymph nodes was 4 (1-24). One patient had common iliac vein laceration, with complete hemostasis achieved using intracorporeal suture. Postoperative lymphedema occurred in 1 patient, and was managed conservatively. All patients received adjuvant chemotherapy after laparoscopic lymphadenectomy. Conclusion: Laparoscopic lymphadenectomy in patients with ILNR is feasible and might be an alternative therapeutic strategy.

Original languageEnglish
Pages (from-to)188-195
Number of pages8
JournalJournal of Minimally Invasive Gynecology
Volume19
Issue number2
DOIs
Publication statusPublished - 2012 Mar
Externally publishedYes

Keywords

  • Cervical cancer
  • Laparoscopy
  • Lymphadenectomy
  • Ovarian cancer
  • Recurrence

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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